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Home My WebLink AboutPermit Electrical 2006-4-5 .' . , CITY OF SPRIN()ELD, OREGON '--" ZON INITIALS DATE SOURCE L-DR- ~nj 225 FIFTH STREET. SPRINGFIELD. OR 97477 . PH:(541)726-3753 . FAX: (541)726-3689 ELECTRICAL PERMIT APPLICATION City Job Number Co fY);).OtJ Co - Of) cJ{)':3 1000 sq. ft. or less -i- --r;: u. ( Each additional 500 sq. ft. or v,J1t-e... ,...e1e..... IDr(;t>-<'lportionthereof I. LOCATION OF INSTALLATION ~ -)] ojlo. 'id~ ,8 V- )?d - - -- LEGAL DESCRiPTION .-J7 {)3 ;)U ;1.1 JOB DESCRIPTION )2ey;Ia.c..~ fJ~T "'tl,1 {)(;gfr7) Permits are non-transferable and expire if work is not started within 180 days of issuance or if work is Suspended for 180 days. r--- CONTRACTOR INSTALLATION ONLY 2. Electri~alContractor Gevc,...cI . ~I ec:l Address 29$l/ /Io..l(dO;.)I3~ I2d City fh -t I cL Phone (SII ~25 96 -I Supervisor License Number c3 (; S 'I s ;E~ Date .tj~S-06 , 3. : COMPLETE FEE SCHEDULE BELOW A..' New Residential- Single or Multi-Family per dwelling unit. .-.- -. .. - - -- Service Included $106.00 $ 19.00 Each Manufact'd Home or Modular Dwelling Service or $50.00 Feeder B. [;~~t~~fr~Ff~~i!"PfR~""AI\~P~:'-'JN?{ Reiocati~n: cf\IITHOR!7ED UNDER THIS PERMIT IS ~n 20 rfInllMS QrNI\<"eO OR IS ABANC~';~'1 ~O~ ,0 201~~&ks t ~Ob Amp VI ~lJ' $75.00 401~tbpl~Y6d&~J;;~~IOD. $125.00 601 Amps to 1000 Amps $163.00 Over 1000 AmpsNolts $375.00 Reconnect Only X $ 50,00 _",0 ,00 r'-' 'd. , C. L_Temp'orary, ~erv~ce~ or_Feeders __ . Expiration Date /0 ~ / - 0 7 o 7 / I (5 200 Amps or less $ 50.00 Constr. Contr. Number 0 't 201 Amps to 400 Amps $ 69,00 . A / 401 A^rriPsfiblbOO))'\mP.~ego.n law' . $100.00 Expiration Date //-/0 - u 6 Or~f!Jr~~#Jt~d.{j?O ~~lis,'ee'~B3;~;;l~~I~~ ._ _ . n_ _'. Signature of Supervising Electrician D. l ~r~A~~~?J31~661"() hl~~e r:.ul~Sil"2~l;1tfQrlh. ..' . _ _ __ _ " "00' " . . IIrnuoh Oi\R 952,001 .A ~ New ~teratlOn'oryExtenslOn,Per'Panel - ...If:.. .~. '"'~'WI r L.UpleS or the rul'1.... l~.. ~ ' ' .. .."one GtrcUlt] t~e center, (Note: ::~~ ;~; . $ 43:00 .()~ I .I~ A. t<.Lho. t2.J(ft:......-/J/~ rf.Usr, Each1WddttlOnaHj;iffuEI~r9'tjltpJtilit N cf:'l~one O~e';: Nam~ pn", 0{, e. td ;::;;, f\ Ce..; 7;::: Service or F(eg~~g,efPjt_800_332,134~)M'C,$/(3:00 ,?1 . ruc~ -_.- ... - - -. --- --------.- ---, Address 5flro . ~d..-VYl &.. <.dj P LE. L~~~c_~ll~n~o~ (~~~vice/feede.....not i~c1-"d~~) _-EachI-"stallat~on_ ~ City ~ L Phone Pump or irrigation $ 50.00 U Sign/Outline Lighting $ 50,00 OWNER INST ALLA nON Limited Energy/Residential $ 25.00 Limited Energy/Commercial $ 45.00 Minimum Elec"tric.Permit Inspection Fee is $45.00 + Surcharges The installation is being made on property I own which . _.~ is not intended for sale, lease Of.rent. Owners Signature: Inspection Request: 726-3769 Installation, Alteration or Relocation ---- -. .------ , 4. : SlIBTOTAL OF ABOVE I::JO . (jD - 4-. DO S,DD ~c;9.oD 8% State Surcharge 10% Administrative Fee TOTAL Shared Drive(T:)/Building Fonns/Eleclncal Pennit Application I-06.doc . . CITY OF srK1l~GFIELD Building/Combination Permit PERMIT NO: COM2006-00403 ISSUED: 04/05/2006 APPLIED: 04/05/2006 EXPIRES: 10/05/2006 VALUE: Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax .. 541-726-3769 Inspection Line SITE ADDRESS: 580 HAYDEN BRIDGE PL ASSESSOR'S PARCEL NO.: 1703262100800 Springfield TYPE OF WORK: Electrical Work Only TYPE OF USE: Repair PROJECT DESCRIPTION: Replace neutral wire meter to panel. NOTICE: TLlIC: D!::O~AIT C:W~II i::YPIOi:: Ii:: TWi:: IMnQI< Commercial · ,. Owner: DOLORES A KINDRICK REV LVG TR ,Address: 580 HAYDEN BRIDGE PL SPRINGFIELD OR 97477 AUTHORIZED UNDER THIS PERMIT IS NOT COMMENCED OR IS ABANDONED FOR ANY 180 DAY PERIOD. I CONTRACTOR INFORMATION I c Contractor Type Electrical Contractor G MILLER ENTERPRISES INC License 87145 Expiration Date 1II10/2006 Phone 541-741-2596 BUILDING INFORMATION I # of Units: Primary Occupancy Group: Secondary Occupancy Group: Primary Construction Type Secondary Construction Type: # of Bedrooms: # of Stories: Height of Structure Type of Heat: Water Type: Range Type: Energy Path: Sprinkled Building: Lot Size: Sq Ft 1st Floor: Sq Ft 2nd Floor: Sq Ft Basement: Sq Ft Garage/Carport Sq Ft Other: Occupant Load: nla , .. Street Improvements: Storm Sewer Availahle: Special Instruction: I DEVELOPMENTINFORMATlON I t AI I t:1~ . IV,". vregon law reqlREQm'D PARKING . ,~, "'w rule< adopted by the Oregon UlIlIlY Overlay DlSt: . - . ..~ . C t Those ruleJ'otal;;et forth , "t........n.tlon en er. ......... . .. # Street Trees Rqd:v 001-0010 through <YA'.'1<!!!:.~PI!~l\:. Paved Drive Rqd:)AR 952- . . Compact:- b ., fL tC n',," You may obtain copies o. "'" 'u'v~ y ,. 0 0 overage:. th t lephone calling the center. (Note: e e .. . ._. .~hM 'M tho nron"n Utilitv Notification I PUBLIC IMPROVEMENTS ,;enter is 1-800-332,2344). Sidewalk Type: DownspoutslDrains: Frontyard Setback: Side I Setback: Side 2 Setback: Rearyard Setback: ;. Solar Setbacks: Notes: '. I Valuation Descriotion , Description Tvpe of Construction $ Per Sq Ft or multiplier Square Footage or Bid Amount Value Date Calculated Pa~el of2 '. . . ;. . . \.-11 f OF ~nUl"\jljt<lJi,LU Building/Combination Permit PERMIT NO: COM2006-00403 ISSUED: 04/05/2006 APPLIED: 04/0512006 EXPIRES: 10/05/2006 VALUE: 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-37691nspection Line Total Value of Project I, ~ ..', Fee Description + 10% Administrative Fee + 8% State Surcharge Service Reconnect Amonnt Paid Date Paid $5.00 $4.00 $50.00 4/5/06 4/5/06 4/5/06 Receipt Number 2200600000000000429 2200600000000000429 2200600000000000429 Total Amount Paid $59.00 I Plan Reviews I To Request an inspection call the 24 hour recording at 726-3769. All inspection requested before 7:00 a.m: will be made the same working day, inspections requested after 7:00 a.m. will be made the following work' , day. .. ,- Rf'nllirf't1I~ Electric Service: Approval required prior to utility company energizing service. By signature, 1 state and agree, that 1 have carefnlly examined the completed application and do hereby certify that all information hereon is true and correct, and I further certify that any and all work performed shall be done hi accordance with the Ordinances of the City of Springfield and the Laws of the State of Oregon pertaining to. the work described herein, and that NO OCCUPANCY will be made of any structure without permission of the Community Services Division, Building Safety.. I further certify that only contractors and employees who are in compliance with ORS 701.005 will be used on this project. I further agree to ensure that all required inspections are requested at the proper time, that each address is readable from the street, that the permit card is located at the front of the property, and the approved set of plans will remain on the site at all times dnring construction. . Owner or Contractors Signature Date Pal!e 2 of2 . 225 ,Fifth Street Springfield, Oregon 97477 541-726-3759 Phone J0b/Journal Number COM2006-00402 COM2006-00402 COM2006-00402 COM2006-00403 COM2006.00403 COM2006-00403 Payments: Type of Payment CreditCard ll~ :i' .) - ., on :? .' " ,!l,' t{ 4/5/2006 . RECEIPT #: ~ ....iity of Springfield Official Receipt .velopment Services Department ., Public Works Department 2200600000000000429 Date: 04/05/2006 Description Perm Serv/Fdr 200 amps or less + 8% State Surcharge + 10% Administrative Fee Service Reconnect + 8% State Surcharge + 10% Administrative Fee Paid By G MILLER ENTERPRISES Item Total: Check Number Authorization Received By Batch Number Number How Received ddk 089257 ln Person Payment Total: Page 1 of 1 lO:30:39AM Amount Due 63.00 5.04 6.30 50.00 4.00 5.00 $133.34 Amonnt Paid $133,34 $133.34 _ I